|
11-desoxycortisol - sendout
|
$178.50 |
$178.50 |
$178.50 |
$84.56
|
|
17-hydroxypregnenolone
|
$138.00 |
$138.00 |
$138.00 |
$85.15
|
|
17-ketosteroids
|
$78.75 |
$78.75 |
$78.75 |
$49.45
|
|
1st hosp/birthing center care per day nml nb 99460
|
$343.50 |
$343.50 |
$343.50 |
$172.80
|
|
2019-ncov diagnostic p
|
$87.00 |
$87.00 |
$87.00 |
$49.57
|
|
2nd order venous cath
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,780.00
|
|
3-d radiotherapy plan
|
$6,505.50 |
$6,505.50 |
$6,505.50 |
$4,937.00
|
|
3d recon without postprocess indpndt
|
$217.50 |
$217.50 |
$217.50 |
$469.20
|
|
5' nucleotidase - sendout
|
$70.50 |
$70.50 |
$70.50 |
$50.00
|
|
88334 ap bill cytologic exam each additional site
|
$126.00 |
$126.00 |
$126.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,630.75 |
$3,630.75 |
$3,630.75 |
$3,410.88
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$75.00 |
$75.00 |
$75.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$3,683.78
|
|
Abd/low ext cath 1st
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$2,255.84
|
|
Abd/low ext cath 3rd
|
$2,690.25 |
$2,690.25 |
$2,690.25 |
$2,662.40
|
|
Abd/low ext cath addl
|
$309.75 |
$309.75 |
$309.75 |
$965.25
|
|
Abdominal CT scan (with and without contrast)
|
$2,182.50 |
$2,182.50 |
$2,182.50 |
$1,997.40
|
|
Abdominal CT scan (with contrast)
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,872.50 |
$2,872.50 |
$2,872.50 |
$3,045.84
|
|
Abdominal MRI (with contrast)
|
$1,972.50 |
$1,972.50 |
$1,972.50 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$2,107.50 |
$2,107.50 |
$2,107.50 |
$2,010.62
|
|
Abdominal paracentesis w/image guidance
|
$1,318.50 |
$1,318.50 |
$1,318.50 |
$1,668.08
|
|
Abdominal Ultrasound (complete)
|
$637.50 |
$637.50 |
$637.50 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$600.00 |
$600.00 |
$600.00 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,122.75 |
$1,122.75 |
$1,122.75 |
$1,170.40
|
|
Abl1 gene
|
$37.50 |
$37.50 |
$37.50 |
$682.50
|
|
Ablate arrhythmia add on
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$6,913.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$17,851.50 |
$17,851.50 |
$17,851.50 |
$8,512.80
|
|
Ablate bone tumor(s) perq
|
$8,739.00 |
$8,739.00 |
$8,739.00 |
$9,773.01
|
|
Ablate heart dysrhythm focus
|
$7,500.00 |
$7,500.00 |
$7,500.00 |
$9,556.83
|
|
Ablate pulm tumor perq crybl
|
$9,591.75 |
$9,591.75 |
$9,591.75 |
$9,970.50
|
|
Ablate pulm tumor perq rf
|
$6,311.25 |
$6,311.25 |
$6,311.25 |
$7,243.60
|
|
Ablation cryo adrenal tumor
|
$10,242.75 |
$10,242.75 |
$10,242.75 |
$6,904.15
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$772.50 |
$772.50 |
$772.50 |
$438.36
|
|
Ablation cryo pq liver tumor(s)
|
$14,067.00 |
$14,067.00 |
$14,067.00 |
$8,581.80
|
|
Ablation of upper extremity nerves rf
|
$2,433.75 |
$2,433.75 |
$2,433.75 |
$900.00
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$4,119.00 |
$4,119.00 |
$4,119.00 |
$2,974.20
|
|
Abltj mal prst8 tiss hifu
|
$12,981.75 |
$12,981.75 |
$12,981.75 |
$5,339.00
|
|
Abobotulinumtoxina
|
$2,064.12 |
$2,064.12 |
$2,064.12 |
$1,541.21
|
|
Abscess drain retroperitoneal surg code
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$3,051.36
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$116.93 |
$116.93 |
$116.93 |
$81.07
|
|
Acetaminophen level
|
$59.25 |
$59.25 |
$59.25 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$880.28 |
$880.28 |
$880.28 |
$122.55
|
|
Acetone qualitative
|
$30.75 |
$30.75 |
$30.75 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$32.25 |
$32.25 |
$32.25 |
$61.80
|
|
Acetylcholinesterase assay
|
$68.25 |
$68.25 |
$68.25 |
$107.63
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$83.08 |
$83.08 |
$83.08 |
$276.33
|
|
Acid perfusion of esophagus
|
$971.25 |
$971.25 |
$971.25 |
$587.30
|
|
Acoustic refl threshold tst
|
$39.75 |
$39.75 |
$39.75 |
$102.05
|
|
Acth stimulation panel
|
$528.75 |
$528.75 |
$528.75 |
$218.40
|
|
Acth stimulation panel
|
$476.25 |
$476.25 |
$476.25 |
$173.60
|
|
Actigraphy testing
|
$460.50 |
$460.50 |
$460.50 |
$218.05
|
|
Actinotherapy uv light
|
$63.00 |
$63.00 |
$63.00 |
$113.28
|
|
Acute hepatitis panel
|
$366.75 |
$366.75 |
$366.75 |
$283.47
|
|
Acute venous thrombus image
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$1,144.80
|
|
Acyclovir 400 mg tablet
|
$1,692.92 |
$1,692.92 |
$1,692.92 |
$41.63
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$110.85 |
$110.85 |
$110.85 |
$64.45
|
|
#acylcarnitineprfl
|
$105.00 |
$105.00 |
$105.00 |
$110.25
|
|
Acylcarnitines qual
|
$84.75 |
$84.75 |
$84.75 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$742.50 |
$742.50 |
$742.50 |
$6,142.50
|
|
Adenosine 3 mg/250 ml bag for osm
|
$393.13 |
$393.13 |
$393.13 |
$275.73
|
|
Adenovirus ag ia
|
$76.50 |
$76.50 |
$76.50 |
$40.70
|
|
Adenovirus antibody,serum - quest
|
$81.00 |
$81.00 |
$81.00 |
$63.00
|
|
Adenovirus assay w/optic
|
$107.25 |
$107.25 |
$107.25 |
$44.00
|
|
Adh-sendout
|
$207.00 |
$207.00 |
$207.00 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$3,483.33 |
$3,483.33 |
$3,483.33 |
$183.76
|
|
Administration chemotherapy IV infusion each additional hour
|
$378.00 |
$378.00 |
$378.00 |
$235.00
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$183.75 |
$183.75 |
$183.75 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$858.75 |
$858.75 |
$858.75 |
$676.55
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$720.75 |
$720.75 |
$720.75 |
$448.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$298.50 |
$298.50 |
$298.50 |
$265.50
|
|
Administration immunization 1 vaccine
|
$87.75 |
$87.75 |
$87.75 |
$67.70
|
|
Administration immunization each additional vaccine
|
$32.25 |
$32.25 |
$32.25 |
$46.23
|
|
Administration vaccine influenza virus
|
$87.75 |
$87.75 |
$87.75 |
$48.35
|
|
Administration vaccine pneumococcal
|
$87.75 |
$87.75 |
$87.75 |
$49.40
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$14,970.91 |
$14,970.91 |
$14,970.91 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$3,236.25 |
$3,236.25 |
$3,236.25 |
$1,957.00
|
|
Advance care planning each additional 30 min 99498
|
$396.00 |
$396.00 |
$396.00 |
$121.68
|
|
Aep hearing status deter i&r
|
$672.00 |
$672.00 |
$672.00 |
$303.05
|
|
Aep neurodiagnostic i&r
|
$830.25 |
$830.25 |
$830.25 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$830.25 |
$830.25 |
$830.25 |
$590.25
|
|
Afamelanotide implant, 1 mg
|
$108,887.55 |
$108,887.55 |
$108,887.55 |
$78,638.30
|
|
_afb id by dna probe rflx ast
|
$122.25 |
$122.25 |
$122.25 |
$89.70
|
|
#afb mycobacteria suscep. #1
|
$36.00 |
$36.00 |
$36.00 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$701.25 |
$701.25 |
$701.25 |
$289.60
|
|
Aflibercept injection
|
$4,548.81 |
$4,548.81 |
$4,548.81 |
$3,153.84
|
|
Agalsidase beta 35 mg intravenous solution
|
$18,320.04 |
$18,320.04 |
$18,320.04 |
$14,760.37
|
|
Air conduction bilat
|
$182.25 |
$182.25 |
$182.25 |
$138.00
|
|
Airway resistance by impulse oscillometry 94728
|
$249.75 |
$249.75 |
$249.75 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$43.50 |
$43.50 |
$43.50 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$282.11 |
$282.11 |
$282.11 |
$218.40
|
|
Albumin, human 25 % intravenous solution
|
$338.85 |
$338.85 |
$338.85 |
$234.94
|
|
Albumin, human 5 % intravenous solution
|
$396.87 |
$396.87 |
$396.87 |
$296.32
|
|
Albumin ischemia modified
|
$207.00 |
$207.00 |
$207.00 |
$50.28
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$54.00 |
$54.00 |
$54.00 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$39.00 |
$39.00 |
$39.00 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$52.50 |
$52.50 |
$52.50 |
$94.90
|
|
Aldesleukin injection
|
$13,024.20 |
$13,024.20 |
$13,024.20 |
$8,460.48
|
